DIVINE FAMILY EYE CARE, LLC
NPI: 1871859918
· POPLAR BLUFF, MO 63901
· 152W00000X
$140K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
175 |
$2K |
| 2019 |
101 |
$2K |
| 2020 |
785 |
$14K |
| 2021 |
932 |
$18K |
| 2022 |
1,211 |
$36K |
| 2023 |
1,244 |
$50K |
| 2024 |
441 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,088 |
1,057 |
$37K |
| 92004 |
|
441 |
433 |
$35K |
| 92014 |
|
473 |
455 |
$28K |
| V2784 |
Lens polycarb or equal |
858 |
442 |
$17K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
481 |
292 |
$12K |
| 92015 |
|
1,473 |
1,429 |
$7K |
| 99213 |
|
46 |
39 |
$2K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
29 |
16 |
$879.76 |